Individual provider Active NPI

Hector Baquedano

  • Physical Therapist
  • Sheridan, WY
National Provider Identifier
1982271177
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2068 Issued in WY
Practice address
345 S Linden Ave
Sheridan, WY 82801-4709
Phone
(307) 683-0123
Fax
(307) 683-0101
NPI assigned
Jun 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2068 WY Primary

Addresses

Primary practice location

345 S Linden Ave
Sheridan, WY 82801-4709

Mailing address

345 S Linden Ave
Sheridan, WY 82801-4709
Phone (307) 683-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722003025 WY Practitioner - Physical Therapist in Private Practice 9032512454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Little Goose Therapy, LLCGroup PAC ID 0941598437, 5 clinicians

Practice addresses (Care Compare)

345 S Linden Ave
Sheridan, WY 82801-4709
Phone (307) 683-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2068WYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lodge Rehabilitation Services, LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Little Goose Therapy LLC Physical Therapist CurrentSince Aug 18, 2022 Accepting new patients
Big Country Rehabilitation,LLC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients

Locations

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

345 S Linden Ave
Sheridan, WY 82801
Phone (307) 672-6610

727 E Brundage Ln
Ste L
Sheridan, WY 82801
Phone (307) 683-0123

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1982271177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 S LINDEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014709",
            "telephone_number": "307-683-0123",
            "fax_number": "307-683-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S LINDEN AVE",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014709",
            "telephone_number": "307-683-0123",
            "fax_number": "307-683-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAQUEDANO",
        "first_name": "HECTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "2068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.